Information Collection

Forms Relating to Civilian Service Records

IC 32540 under ICR 202609-3095-002 · OMB 3095-0037.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NA Form 13022 Returned Request Forms Relating to Civilian Service Records	Form and Instruction
Form NA Form 13068 Walk-In Request for OPM Records or Information Forms Relating to Civilian Service Records	Form and Instruction
NA Form 13022 Returned Request na13022_FINAL_2022.pdf www.archives.gov/files/st-louis/civilian-personnel/na13022.pdf	Form and Instruction
NA Form 13068 Walk-In Request for OPM Records or Information na13068_FINAL_2022.pdf www.archives.gov/files/st-louis/civilian-personnel/na13068.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA Form 13022			https://www.archives.gov/files/st-louis/civilian-personnel/na13022.pdf	Yes	Yes	Printable Only
Form and Instruction	NA Form 13068			https://www.archives.gov/files/st-louis/civilian-personnel/na13068.pdf	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title: NARA 35

FR Citation: 78 FR 77281

Number of Respondents: 10,429

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	10,429	-47,470	57,899
Annual IC Time Burden (Hours)	869	-3,955	4,824
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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